FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4308151808> ?p ?o ?g. }

• W4308151808 endingPage "111372" @default.
• W4308151808 startingPage "111372" @default.
• W4308151808 abstract "Anterior brainstem compression from odontoid pathology can occur in patients with craniocervical disorders. Occasionally, odontoid resection is required. In adults, odontoid resection has evolved toward transnasal-only endoscopic techniques. Pediatric patients, however, pose special challenges due to abnormal anatomy and smaller working spaces. A combined transnasal/transoral endoscopic odontoid resection (TN/TO EOR) can overcome this limitation. We present a case series with emphasis on otolaryngologic considerations to airway management, endoscopic approach, and management of complications.A single center, retrospective review of patients aged ≤18 undergoing combined transnasal/transoral endoscopic odontoid resection between 2011 and 2022 is presented. Clinical and surgical variables consisting of diagnosis, intubation approach, other airway procedures performed, symptoms, complications, blood loss, and time to extubation, return to oral feeding, and discharge were recorded.19 patients aged 10.7 ± 4.3 (range: 3-18) were included. Diagnoses included congenital syndrome (n = 6), complex Chiari malformation (n = 11), and congenital syndrome with Chiari (n = 2). Patients commonly required indirect videolaryngoscopy for intubation, with or without fiberoptic endoscopic assistance. Seven underwent adenoidectomy, two underwent adenotonsillectomy, and one required adenoidectomy with midline palatal split and inferior turbinate outfracture. Four patients had undergone prior adenotonsillectomy. Presenting symptoms included extremity weakness (n = 9), dysphagia (n = 8), velopharyngeal insufficiency (n = 4), sleep disturbance (n = 5), and headaches (n = 8). Four patients had complications, including one re-operation for residual odontoid, one flap dehiscence, one cerebrospinal fluid (CSF) leak repaired primarily, and one complicated course including temporary spinal cord injury. Blood loss was 50 ± 43 cc (median 30). Time to extubation was 1.1 ± 2.1 days (median 0; one patient underwent tracheotomy for respiratory failure), time to oral intake was 2.9 ± 3.7 days (median 1), and time to discharge was 7.1 ± 7.5 days (median 4).A combined transnasal/transoral approach can be successfully used in pediatric patients to overcome difficult endoscopic access. Although complications exist, early extubation and return to oral intake occurs in the vast majority of cases. For pediatric TN/TO EOR, the otolaryngologist plays a key role in preoperative assessment, airway management, endoscopic exposure, and complication management." @default.
• W4308151808 created "2022-11-08" @default.
• W4308151808 creator A5003095521 @default.
• W4308151808 creator A5014997177 @default.
• W4308151808 creator A5028180767 @default.
• W4308151808 creator A5068348198 @default.
• W4308151808 date "2023-01-01" @default.
• W4308151808 modified "2023-10-14" @default.
• W4308151808 title "Combined transnasal/transoral endoscopic odontoid resection in pediatric patients: Otolaryngologic considerations to airway management, endoscopic exposure, and complication management" @default.
• W4308151808 cites W1462926511 @default.
• W4308151808 cites W1539638577 @default.
• W4308151808 cites W1878221598 @default.
• W4308151808 cites W1967145867 @default.
• W4308151808 cites W1968072281 @default.
• W4308151808 cites W1981034147 @default.
• W4308151808 cites W1989943512 @default.
• W4308151808 cites W1995078878 @default.
• W4308151808 cites W2007597486 @default.
• W4308151808 cites W2010390794 @default.
• W4308151808 cites W2044239063 @default.
• W4308151808 cites W2078872770 @default.
• W4308151808 cites W2473124694 @default.
• W4308151808 cites W2589254950 @default.
• W4308151808 cites W2755302182 @default.
• W4308151808 cites W3165493168 @default.
• W4308151808 cites W3204535199 @default.
• W4308151808 cites W4230961899 @default.
• W4308151808 doi "https://doi.org/10.1016/j.ijporl.2022.111372" @default.
• W4308151808 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36402000" @default.
• W4308151808 hasPublicationYear "2023" @default.
• W4308151808 type Work @default.
• W4308151808 citedByCount "0" @default.
• W4308151808 crossrefType "journal-article" @default.
• W4308151808 hasAuthorship W4308151808A5003095521 @default.
• W4308151808 hasAuthorship W4308151808A5014997177 @default.
• W4308151808 hasAuthorship W4308151808A5028180767 @default.
• W4308151808 hasAuthorship W4308151808A5068348198 @default.
• W4308151808 hasConcept C141071460 @default.
• W4308151808 hasConcept C142724271 @default.
• W4308151808 hasConcept C2777346780 @default.
• W4308151808 hasConcept C2778716859 @default.
• W4308151808 hasConcept C2779073326 @default.
• W4308151808 hasConcept C2779115750 @default.
• W4308151808 hasConcept C2779651940 @default.
• W4308151808 hasConcept C2780596822 @default.
• W4308151808 hasConcept C71924100 @default.
• W4308151808 hasConceptScore W4308151808C141071460 @default.
• W4308151808 hasConceptScore W4308151808C142724271 @default.
• W4308151808 hasConceptScore W4308151808C2777346780 @default.
• W4308151808 hasConceptScore W4308151808C2778716859 @default.
• W4308151808 hasConceptScore W4308151808C2779073326 @default.
• W4308151808 hasConceptScore W4308151808C2779115750 @default.
• W4308151808 hasConceptScore W4308151808C2779651940 @default.
• W4308151808 hasConceptScore W4308151808C2780596822 @default.
• W4308151808 hasConceptScore W4308151808C71924100 @default.
• W4308151808 hasLocation W43081518081 @default.
• W4308151808 hasLocation W43081518082 @default.
• W4308151808 hasOpenAccess W4308151808 @default.
• W4308151808 hasPrimaryLocation W43081518081 @default.
• W4308151808 hasRelatedWork W1982584050 @default.
• W4308151808 hasRelatedWork W2041833741 @default.
• W4308151808 hasRelatedWork W2075022859 @default.
• W4308151808 hasRelatedWork W2165457348 @default.
• W4308151808 hasRelatedWork W2423233162 @default.
• W4308151808 hasRelatedWork W2468128494 @default.
• W4308151808 hasRelatedWork W2581699428 @default.
• W4308151808 hasRelatedWork W2730020983 @default.
• W4308151808 hasRelatedWork W4252207178 @default.
• W4308151808 hasRelatedWork W4252354604 @default.
• W4308151808 hasVolume "164" @default.
• W4308151808 isParatext "false" @default.
• W4308151808 isRetracted "false" @default.
• W4308151808 workType "article" @default.